A nurse is assessing a client for postpartum infection. Which of the following findings should indicate to the nurse that the client requires further evaluation for endometritis?

Pelvic pain

Hematuria

A localized area of breast tenderness

A moderate amount of dark red lochia with a foul odor

Answer and Explanation

The Correct Answer is A

Choice a) reason: Pelvic pain is a common symptom of endometritis. The pain is typically located in the lower abdomen and may be associated with uterine tenderness upon physical examination. This symptom, especially when combined with other signs such as fever and foul-smelling lochia, strongly suggests the need for further evaluation for endometritis.

Choice b) reason: Hematuria, or blood in the urine, is not a typical symptom of endometritis. While it could be a sign of other postpartum complications, such as urinary tract infections or bladder injury during childbirth, it does not directly indicate endometritis.

Choice c) reason: A localized area of breast tenderness is more indicative of a breast infection, such as mastitis, especially if associated with breastfeeding. It is not a symptom of endometritis, which affects the uterus and not the breasts.

Choice d) reason: While foul-smelling lochia can be a sign of endometritis, the key is the presence of a foul odor. A moderate amount of dark red lochia alone, without a foul odor, is a normal finding in the immediate postpartum period. It's the transition from rubra (red) to serosa (pink/brown) to alba (yellow/white) that is expected as the uterus heals.

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Correct Answer is A

Explanation

Choice A Reason:
Peanut butter should be eliminated from the diet of a pregnant client with PKU. It is a high-protein food that contains phenylalanine, an amino acid that individuals with PKU cannot metabolize properly¹. The accumulation of phenylalanine can lead to serious health issues for both the mother and the developing fetus, including the risk of intellectual disability in the child.

Choice B Reason:
Potatoes are generally safe for individuals with PKU to consume. They are not high in protein and thus do not contain large amounts of phenylalanine. However, portion sizes and overall dietary balance should be monitored by a healthcare professional to ensure proper nutrition.

Choice C Reason:
Apple juice is also safe for individuals with PKU. It does not contain protein and therefore is not a significant source of phenylalanine. It can be included in the diet as part of the fluid intake.

Choice D Reason:
Broccoli is a low-protein vegetable and is typically allowed in the diets of individuals with PKU. It contains some phenylalanine, but in much lower amounts compared to high-protein foods. As with all foods, it should be consumed in moderation according to dietary guidelines provided by a healthcare professional.

A. The recommended intake of iron increases. B. Zinc intake should be at least 12 mg per day. C. Calcium intake should be at least 2,000 mg per day. D. The recommended intake of folic acid remains the same as for pregnant women.

Correct Answer is B

Explanation

Choice A Reason:
The recommended intake of iron does not necessarily increase during lactation. In fact, the iron requirement may decrease because menstruation usually ceases, reducing iron loss. However, maintaining adequate iron intake is still important for overall health and to support the baby's growth.

Choice B Reason:
Zinc is crucial for immune function, cell division, and growth, making it an important nutrient during lactation. The recommended dietary allowance (RDA) for zinc for lactating women is indeed higher than for non-pregnant, non-lactating women, with an RDA of about 12 mg per day.

Choice C Reason:
While calcium is important for bone health, the recommended intake for lactating women is not as high as 2,000 mg per day. The RDA for calcium for lactating women is about 1,000 mg per day, similar to that for non-lactating women.

Choice D Reason:
The recommended intake of folic acid does not remain the same as for pregnant women. During pregnancy, the RDA for folic acid is higher to prevent neural tube defects. While folic acid is still important during lactation for cell growth and DNA synthesis, the requirement is slightly lower than during pregnancy.

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A nurse is assessing a client for postpartum infection. Which of the following findings should indicate to the nurse that the client requires further evaluation for endometritis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who is pregnant and has phenylketonuria (PKU). Which of the following foods should the nurse instruct the client to eliminate from her diet?

Correct Answer is A

Explanation

A nurse in a prenatal clinic is teaching a group of clients about nutrition requirements during lactation. Which of the following statements should the nurse make?

Correct Answer is B

Explanation

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A nurse is assessing a client for postpartum infection. Which of the following findings should indicate to the nurse that the client requires further evaluation for endometritis?

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